Bedside or not bedside: Evaluation of patient satisfaction in intensive medical rehabilitation wards

Abstract

BackgroundConcerns that bedside presentation (BsP) rounds could make patients uncomfortable led many residency programs to move daily rounds outside the patients’ room (OsPR). We performed a prospective quasi-experimental controlled study measuring the effect of these two approaches on patient satisfaction.MethodsPatient satisfaction was measured using the Picker questionnaire (PiQ). Results are expressed in problematic percentage scores scaled from 0 = best-100 = worst. During three months, 3 wards of a 6 ward medical rehabilitation division implemented BsP and 3 control wards kept their usual organization of rounds. In total, 90 patients of each group were included in the study and completed the PiQ.ResultsSocio-clinical characteristics were similar in both groups: mean age = 67 years (SD = 13), mean Charlson comorbidity index = 8.6 (2.4); mean length of stay = 22 days (12). During their stay, patients in the BsP units had a mean of 14.3 (8) BsP rounds and 0.5 (0.8) OsPR; control patients had a mean of 0.9 (0.7) BsP and 14.8 (7.3) OsPR (p<0.0001). Patients in BsP units reported lower problematic scores regarding coordination of care (39% vs 45%, p = 0.029), involvement of family/friends (29 vs 41%, p = 0.006) and continuity/transition (44% vs 54%, p = 0.020); two questions of the PiQ had worse scores in the BsP: trust in nurses (46.7% vs 30 %, p = 0.021) and recommendation of the institution (61.1% vs 44.4%. p = 0.025). No worsening in dimensions such as respect for patient preferences was seen.ConclusionsBsP rounds influenced the patient-healthcare professionals’ encounter. These rounds were associated with improved patient satisfaction with care, particularly regarding interprofessional collaboration and discharge planning.

Interprofessional collaboration and patient-reported outcomes: a secondary data analysis based on large scale survey data

“…Moreover, our study was innovative as the dataset enabled us to match data from both employee and patient surveys regarding a PRO-specific research question with a well validated PRO measure. The Picker Questionnaire was rated as "the most likely to cover important areas regarding hospital stay and [ …] the least difficult to understand as well as [ …] the best designed questionnaire" [21] in a randomized trial of four different patient satisfaction questionnaires [22].…”

Families’ healthcare experiences for children with inherited metabolic diseases: protocol for a mixed methods cohort study

“…The UKMRC Complex Interventions Framework, a phased approach to the design, evaluation and implementation of complex interventions, guided this study's design. 32 33 Following previous studies of healthcare experiences, [42][43][44][45][46] we will also use the Picker Principles of Patient-Centred Care to provide a framework to guide data collection and analysis regarding key aspects of family centred care. 12 We will conduct a mixed methods study, following a twostage explanatory sequential design (figure 1).…”

Listening Better Through Bedside Rounding: A Quality Improvement Initiative

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